Claims Reimbursement Analyst

at  Health Care Service Corporation

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for programing and implementing Enterprise claims auditing logic under the direction of the Manager Professional Reimbursement Programs. Assists in the implementation, updates, and maintenance of code auditing software.

Required Job Qualifications:

• Associate degree, OR 2 years’ experience in the health care industry.
• One of the following HIM certification: RHIT, RHIA, CCS, CCS-P, CPC, CPC-A, CPC-P. (or acquired within 24 months of hire).
• Experience working with professional coding structures and claims auditing logic
• Knowledge of medical practice patterns, professional coding, and payment structures.
• Clear and concise interpersonal, verbal, and written communication skills.
• Analytical, research and quantitative skills.

Preferred Job Qualifications:

• Bachelor degree.

Please refer the Job description for details